NU 325 Health Assessment Final Exam
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Flat Affect - CORRECT ANSWER-Lack of emotional response; no expression of
feelings; voice monotonous and face immobile
apical impulse - CORRECT ANSWER-found at the 4th or 5th intercostal space
mid-clavicular line
Normal heart rate - CORRECT ANSWER-60 to 100 bpm
Pulse deficit - CORRECT ANSWER-by auscultating the apical beat while
simultaneously palpating the radial pulse. Count a serial measurement (one after
the other) of apical beat and radial pulse. Normally every beat you hear at the
apex should perfuse to the periphery and be palpable. The two counts should be
identical. When different, subtract the radial rate from the apical, and record the
remainder.
,-Signals a weak contraction of the ventricles; it occurs with atrial fibrillation,
premature beats, and heart failure.
Clubbing - CORRECT ANSWER-nail beds are more than 160 degrees -indicates
heart failure or COPD
apex - CORRECT ANSWER-is found at the 5th intercostal space, mid-clavicular
line or a little bit medial there too
epispadias - CORRECT ANSWER-Meatus opens on the dorsal (upper) side of
glans or shaft above a broad, spadelike penis. Rare; less common than
hypospadias but more disabling because of associated urinary incontinence and
separation of pubic bones.
hypospadias - CORRECT ANSWER-Urethral meatus opens on the ventral
(under) side of glans or shaft or at the penoscrotal junction. A groove extends
from the meatus to the normal location at the tip. This congenital defect is
important to recognize at birth. The newborn should not be circumcised because
surgical correction may need to use foreskin tissue to extend urethral length.
,testicular torsion - CORRECT ANSWER--Subjective: Excruciating unilateral pain
in testicle of sudden onset, often during sleep or following trauma; may also have
lower abdominal pain, nausea and vomiting, no fever
-Objective: Inspection—Red, swollen scrotum, one testis (usually left) higher
owing to rotation and shortening
Palpation—Cord feels thick, swollen, tender; epididymis may be anterior;
cremasteric reflex absent on side of torsion
-Sudden twisting of spermatic cord. Occurs in late childhood, early adolescence;
rare after age 20 years. Torsion usually on left side; faulty anchoring of testis on
wall of scrotum allows testis to rotate. The anterior testis rotates medially toward
the other testis. Blood supply is cut off, resulting in ischemia and engorgement.
An emergency requiring surgery; testis can become gangrenous in a few hours.
epididymitis - CORRECT ANSWER--Subjective: Severe pain of sudden onset in
scrotum, relieved by elevation (positive Prehn sign); also rapid swelling, fever
-Objective: Inspection—Enlarged scrotum; reddened
Palpation—Exquisitely tender; it is enlarged, indurated; hard to distinguish from
testis. Overlying scrotal skin may be thick and edematous
Laboratory—White blood cells and bacteria in urine
-A: Tender swelling of it
-Acute infection of epididymis commonly caused by prostatitis; after
prostatectomy because of trauma of urethral instrumentation; or from chlamydia,
, gonorrhea, or other bacterial infection. Often difficult to distinguish between it
and testicular torsion.
priapism - CORRECT ANSWER-Prolonged painful erection of penis without
sexual stimulation and unrelieved by intercourse or masturbation, most common
in men in 30s and 40s. A rare condition but when lasting 4 hours or longer can
cause ischemia of penis, fibrosis of tissue, erectile dysfunction. Can occur as a side
effect of some medications and street drugs; with sickle-cell trait or disease; with
leukemia in which increased numbers of white blood cells produce engorgement;
with malignancy; from local trauma; or as a result of spinal cord injuries with
autonomic nervous system dysfunction.
testis - CORRECT ANSWER-where sperm production occurs
Cranial Nerve I: Olfactory Nerve - CORRECT ANSWER-•Check patency!!
•With person's eyes closed, occlude one nostril and present familiar aromatic
substance, e.g., coffee, orange, vanilla, soap, or peppermint
•Normally, person can identify an odor on each side of nose; normally decreased
with aging; any asymmetry in sense of smell is important
•Abnormal: anosmia - upper respiratory infection, tobacco or cocaine use, frontal
lobe lesion
-Sensory
Newest 2025/2026 Complete Questions and
Correct Detailed Answers Already Graded
A+|Assured Success
Flat Affect - CORRECT ANSWER-Lack of emotional response; no expression of
feelings; voice monotonous and face immobile
apical impulse - CORRECT ANSWER-found at the 4th or 5th intercostal space
mid-clavicular line
Normal heart rate - CORRECT ANSWER-60 to 100 bpm
Pulse deficit - CORRECT ANSWER-by auscultating the apical beat while
simultaneously palpating the radial pulse. Count a serial measurement (one after
the other) of apical beat and radial pulse. Normally every beat you hear at the
apex should perfuse to the periphery and be palpable. The two counts should be
identical. When different, subtract the radial rate from the apical, and record the
remainder.
,-Signals a weak contraction of the ventricles; it occurs with atrial fibrillation,
premature beats, and heart failure.
Clubbing - CORRECT ANSWER-nail beds are more than 160 degrees -indicates
heart failure or COPD
apex - CORRECT ANSWER-is found at the 5th intercostal space, mid-clavicular
line or a little bit medial there too
epispadias - CORRECT ANSWER-Meatus opens on the dorsal (upper) side of
glans or shaft above a broad, spadelike penis. Rare; less common than
hypospadias but more disabling because of associated urinary incontinence and
separation of pubic bones.
hypospadias - CORRECT ANSWER-Urethral meatus opens on the ventral
(under) side of glans or shaft or at the penoscrotal junction. A groove extends
from the meatus to the normal location at the tip. This congenital defect is
important to recognize at birth. The newborn should not be circumcised because
surgical correction may need to use foreskin tissue to extend urethral length.
,testicular torsion - CORRECT ANSWER--Subjective: Excruciating unilateral pain
in testicle of sudden onset, often during sleep or following trauma; may also have
lower abdominal pain, nausea and vomiting, no fever
-Objective: Inspection—Red, swollen scrotum, one testis (usually left) higher
owing to rotation and shortening
Palpation—Cord feels thick, swollen, tender; epididymis may be anterior;
cremasteric reflex absent on side of torsion
-Sudden twisting of spermatic cord. Occurs in late childhood, early adolescence;
rare after age 20 years. Torsion usually on left side; faulty anchoring of testis on
wall of scrotum allows testis to rotate. The anterior testis rotates medially toward
the other testis. Blood supply is cut off, resulting in ischemia and engorgement.
An emergency requiring surgery; testis can become gangrenous in a few hours.
epididymitis - CORRECT ANSWER--Subjective: Severe pain of sudden onset in
scrotum, relieved by elevation (positive Prehn sign); also rapid swelling, fever
-Objective: Inspection—Enlarged scrotum; reddened
Palpation—Exquisitely tender; it is enlarged, indurated; hard to distinguish from
testis. Overlying scrotal skin may be thick and edematous
Laboratory—White blood cells and bacteria in urine
-A: Tender swelling of it
-Acute infection of epididymis commonly caused by prostatitis; after
prostatectomy because of trauma of urethral instrumentation; or from chlamydia,
, gonorrhea, or other bacterial infection. Often difficult to distinguish between it
and testicular torsion.
priapism - CORRECT ANSWER-Prolonged painful erection of penis without
sexual stimulation and unrelieved by intercourse or masturbation, most common
in men in 30s and 40s. A rare condition but when lasting 4 hours or longer can
cause ischemia of penis, fibrosis of tissue, erectile dysfunction. Can occur as a side
effect of some medications and street drugs; with sickle-cell trait or disease; with
leukemia in which increased numbers of white blood cells produce engorgement;
with malignancy; from local trauma; or as a result of spinal cord injuries with
autonomic nervous system dysfunction.
testis - CORRECT ANSWER-where sperm production occurs
Cranial Nerve I: Olfactory Nerve - CORRECT ANSWER-•Check patency!!
•With person's eyes closed, occlude one nostril and present familiar aromatic
substance, e.g., coffee, orange, vanilla, soap, or peppermint
•Normally, person can identify an odor on each side of nose; normally decreased
with aging; any asymmetry in sense of smell is important
•Abnormal: anosmia - upper respiratory infection, tobacco or cocaine use, frontal
lobe lesion
-Sensory
